ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 N00.8

Billable / Specific MCC

Acute nephritic syndrome with other morphologic changes

N00
Block
1
Synonyms
4
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM N00.8

ICD-10-CM code N00.8 represents Acute nephritic syndrome with other morphologic changes. This is a billable/specific code in the Genitourinary System chapter (block N00). The 2026 edition of ICD-10-CM N00.8 became effective on October 1, 2025.

Coding Tips for N00.8

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: MCC

N00.8 is designated MCC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-MCC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag MCC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under N00.8. Per CMS ICD-10-CM Tabular 2026.

  • Acute nephritic syndrome with proliferative glomerulonephritis NOS

Medicare Advantage HCC Impact

ESRD-HCC
Category 141

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Inpatient DRG Impact, MCC

codes Acute nephritic syndrome with other morphologic changes. As a Major Complication/Comorbidity (MCC), this can shift the DRG assignment to a higher-weighted category, substantial reimbursement impact.

Medicare LCD Coverage for N00.8

Local Coverage Determinations (LCDs) from CMS MACs that list N00.8 as a covered diagnosis.

4 LCDs

Showing top 4. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Retroperitoneal Ultrasound
Article ID: 55336, Effective: 2025-10-01 00:00:00, 797 covered, 0 non-covered
CPT 76775 →
CMS LCD: Billing and Coding: Retroperitoneal Ultrasound
Article ID: 55336, Effective: 2025-10-01 00:00:00, 797 covered, 0 non-covered
CPT 76770 →
CMS LCD: Billing and Coding: Retroperitoneal Ultrasound
Article ID: 55336, Effective: 2025-10-01 00:00:00, 797 covered, 0 non-covered
CPT 76776 →
CMS LCD: Billing and Coding: Serum Magnesium
Article ID: 57189, Effective: 2025-10-16 00:00:00, 1405 covered, 0 non-covered
CPT 83735 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N00.8.

2 policies

2 Medicare

Billing and Coding: Retroperitoneal Ultrasound
Policy ID: ART-55336
Billing and Coding: Serum Magnesium
Policy ID: ART-57189

CPT Codes Commonly Billed with N00.8

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for N00.8

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert N00.8 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
N00.8 58089 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To N00.8

Other codes in section N00-N08 (Glomerular diseases).

N00 Acute nephritic syndrome (non-billable) N00.0 Acute nephritic syndrome with minor glomerular abnormality N00.1 Acute nephritic syndrome with focal and segmental glomerular lesions N00.2 Acute nephritic syndrome with diffuse membranous glomerulonephritis N00.3 Acute nephritic syndrome with diffuse mesangial proliferative glomerulonephritis N00.4 Acute nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis N00.5 Acute nephritic syndrome with diffuse mesangiocapillary glomerulonephritis N00.6 Acute nephritic syndrome with dense deposit disease N00.7 Acute nephritic syndrome with diffuse crescentic glomerulonephritis N00.9 Acute nephritic syndrome with unspecified morphologic changes N00.A Acute nephritic syndrome with C3 glomerulonephritis N00.B Acute nephritic syndrome with immune complex membranoproliferative glomerulonephritis (non-billable) N00.B1 Acute nephritic syndrome with idiopathic immune membranoproliferative glomerulonephritis (IC-MPGN) N00.B2 Acute nephritic syndrome with secondary immune complex membranoproliferative glomerulonephritis (IC-MPGN) N01 Rapidly progressive nephritic syndrome (non-billable) N01.0 Rapidly progressive nephritic syndrome with minor glomerular abnormality N01.1 Rapidly progressive nephritic syndrome with focal and segmental glomerular lesions N01.2 Rapidly progressive nephritic syndrome with diffuse membranous glomerulonephritis N01.3 Rapidly progressive nephritic syndrome with diffuse mesangial proliferative glomerulonephritis N01.4 Rapidly progressive nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis

ICD-10 N00.8, Billing FAQ

Is ICD-10 code N00.8 billable? +

Yes, N00.8 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to N00.8? +

ICD-10 N00.8 includes: Acute nephritic syndrome with proliferative glomerulonephritis NOS.

Is N00.8 a CC or MCC for inpatient DRG? +

Yes, this code is designated as MCC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What ICD-9 codes does N00.8 map to? +

Per CMS GEMs, N00.8 maps to ICD-9 codes: 58089. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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